2. UC RESIDENT REQUEST and AUTHORIZATION FOR BRUSH CHIPPING

   Year-round curbside chipping is available to residents for a fee.

   • curbside chipping only, no chipping is done in alleys
   • brush chipping performed on Fridays
   • $30 fee per 1/2 hour; $60 fee up to 1 hour (billed in 1/2 hour increments)
   • Brush Chipping Authorization Request Form must be complete. Printed form is also available for pick-up at City Hall or Public Works office.

   
   

   • Brush pile guidelines
     • stack brush neatly at the curb
     • limbs 8" in diameter or smaller; limbs 4' in length or longer (For safety, City crews cannot chip limbs shorter than 4')
     • We do not brush chip the following: bamboo, banana plants, cactus, lumber, palm tree leaves/bark, vines, thorny bushes or stumps/roots.
4. RESIDENT INFORMATION
6. PROPERTY ADDRESS*
8. CUSTOMER - First Name*
9. Last Name*
11. DAYTIME PHONE*
12. WATER ACCOUNT #*
14. AUTHORIZATION:*

    I hereby authorize the City of Universal City personnel to perform brush chipping service at the property address listed above. I further agree to have the brush chipping fees added to my water bill account. The fees added to my account will be as follows (select one):

    1. $30.OO (Not to exceed 30 mins of brush chipping service)
    2. $60.00 (Not to exceed 30 mins of bush chipping services)
16. ELECTRONIC SIGNATURE*

    I understand that this charge will be added to my utility account. I acknowledge that I am fully responsible for all charges added to my utility account and that these charges are subject to late penalties, service charges, and service disconnection.

18. DATE*
    DATE

    DATE

20. If you have any questions on chipping service, please contact the Universal City Public Works Depart. at 210-658-5364.

24. FOR CITY PERSONNEL USE:
26. Service Date & Initials:
27. Beginning Time:
28. Ending Time:
29. Total Time Worked:
31. Total Fee:
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field